Journal of evaluation in clinical practice最新文献

{"title":"Transition and Life-Long Care for Adults With Cerebral Palsy: A Patient Group ‘Too Hard to Impact!’ Are We Still Sending Young People ‘Off a Cliff’?","authors":"Susie Turner,&nbsp;Charlotte Nash,&nbsp;Jane Goodwin,&nbsp;Johanna Smith,&nbsp;Charlie Fairhurst,&nbsp;Jill Cadwgan","doi":"10.1111/jep.70011","DOIUrl":"https://doi.org/10.1111/jep.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>At Evelina London Children's Hospital, tertiary care is provided for children with Cerebral Palsy (CP) across the South East of England. An increasing number of adults with CP remain under the care of the children's hospital due to a lack of appropriate adult neurodisability services. This quality improvement project as part of a gap analysis regarding transition pathways for young adults with CP, aimed to explore the lived experience of young adults within our service, with respect to transition and care in adulthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a multi-methods design. Firstly, a bespoke questionnaire to young adults with CP and their families evaluated their experience of transition, access to services, challenges with care, and their needs from healthcare professionals (<i>n</i> = 46). Then, a focus group with parents of adults with CP (<i>n</i> = 4) and interviews with adults with CP (<i>n</i> = 5) informed design of an ideal transition pathway and adult service. The qualitative data were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Framework analysis of the questionnaire data was mapped against the International Classification of Functioning (ICF) with the following themes identified: Body structure and function: pain and anxiety; Activity: equality; accessibility and relationships; Participation: need for friendship and social opportunities, employment and education; Environmental factors: health services and providers; home environment and wider community; Personal factors: independence. Analysis of the focus group and interviews identified five main themes: Gradual and co-ordinated transition process; Co-ordination of care in adult services; Knowledge, skills and experience of professionals; Communication; and Worrying about the future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Participants identified significant challenges with transition pathways and adult care. Annual reviews from healthcare professionals with expertise in CP should be offered to young adults to ensure early identification of health needs. Further research is needed to support business planning in development of appropriate adult services for adults with CP and ensure successful transition pathways.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Review of Outcome Measures in Pharmacologically Managed Chronic Pain: Informing a New Outcome Framework for Healthcare Provider-Led Pharmacotherapy Services","authors":"Abdulrahman Sharaf,&nbsp;Emma Dunlop,&nbsp;Natalie Weir,&nbsp;Rosemary Newham,&nbsp;Sumaya Alsalah,&nbsp;Marion Bennie","doi":"10.1111/jep.70029","DOIUrl":"https://doi.org/10.1111/jep.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objective</h3>\u0000 \u0000 <p>Chronic pain represents a global burden, highlighting the necessity for accurate outcome measures in treatment evaluation. This systematic review aims to identify what outcome measures and tools are applied in chronic pain primary care-based pharmacotherapy services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Databases and Data Treatment</h3>\u0000 \u0000 <p>The MEDLINE, Embase, and CINAHL databases, along with the reference lists of published articles, were systematically searched from 2013 to July 2023. This search included observational studies that employed pharmacological interventions recommended by the World Health Organisation pain ladder and the Scottish Intercollegiate Guidelines Network guidelines. The studies targeted chronic pain patients treated in outpatient settings and examined five predefined outcomes: health-related quality of life (HRQoL), cost-effectiveness, medication optimisation, adverse events, and patient experience. The quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 23 studies included a total of 51 outcome measurement tools were employed to assess the five predefined outcomes, involving 44,472 patients with chronic pain. Fifteen were cohort studies, while 8 were cross-sectional surveys or questionnaire-based. Most studies focused on one to two outcomes only (<i>n</i> = 19; 82.6%). HRQoL emerged as the primary outcome studied across all 23 studies (100%), predominantly assessed through the Brief Pain Inventory (BPI) tool (<i>n</i> = 9; 39.1%). Conversely, the least studied outcomes were medication optimisation and cost-effectiveness. The timing of measurement post-intervention and follow-up durations displayed significant variability across the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review identifies gaps in enabling a more holistic assessment of pharmacotherapy services and underscores the need for enhanced consistency via standardised tools in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the Effectiveness of a Biopsychosocial-Based Exercise Approach in Rheumatic Diseases: A Mixed Methods Research With Patients' Perspectives","authors":"Edibe Unal,&nbsp;Nur Banu Karaca,&nbsp;Gunseli Ayca Saldirdak,&nbsp;Hande Albayrak,&nbsp;Aykut Ozcadirci,&nbsp;Nazli Elif Nacar,&nbsp;Orkun Tufekci,&nbsp;Sinan Buran,&nbsp;Sedat Kiraz,&nbsp;Ozlem Cankurtaran","doi":"10.1111/jep.70033","DOIUrl":"https://doi.org/10.1111/jep.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To investigate the effectiveness and acceptability, and thus practicability of a biopsychosocial-based exercise model in rheumatic diseases by a mixed method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study is within the framework of mixed-method research that combines the strengths of quantitative and qualitative research methodologies. For the quantitative part of the study, 81 patients were divided into two groups <i>Bilişsel Egzersiz Terapi Yaklaşımı</i> (BETY)- (<i>Cognitive Exercise Therapy Approach in English</i>) exercise group (BETY Group-BG) and control group (CG). BG participants engaged in supervised exercise sessions with a physiotherapist for 1 h, three times weekly, over 12-week periods, while CG participants continued only routine medical treatment. Biopsychosocial status (BETY-Biopsychosocial Questionnaire [BETY-BQ]), functionality (Health Assessment Questionnaire [HAQ]), emotional status (Hospital Anxiety and Depression Scale [HADS]), and quality-of-life (Short Form-36 [SF-36]) was evaluated at baseline and 12 weeks. Qualitative data was collected from 20 patients who have acquired the habit of regular exercise by attending the BETY group exercise programme. Individual, semi-structured, face-to-face interviews were recorded, transcribed, and condensed and interpreted based on pre-established themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>There were differences in the BETY-BQ, HAQ, HADS-D, and SF-36 scores between baseline and 12 weeks in the BG (<i>p</i> &lt; 0.05). Additionally, in post-intervention, the BETY-BQ, HADS-A, and SF-36 scores differences between groups were in favour of the BG (<i>p</i> &lt; 0.05). In qualitative analysis, four sections were investigated, which were subdivided into ‘Biopsychosocial Status’, ‘Functionality’, ‘Emotional Status’ and ‘Quality of Life’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BETY is an effective and acceptable exercise model for managing the symptoms of patients with rheumatic diseases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Professionals' Perspectives on the Impact of a Multicomponent Intervention for Older People With Frailty Discharged From Hospital–A Theory-Based Evaluation","authors":"Rikke Larsen Rasmussen,&nbsp;Laurine Nilsson,&nbsp;Mette Holst,&nbsp;Morten Villumsen,&nbsp;Jane Andreasen","doi":"10.1111/jep.70042","DOIUrl":"https://doi.org/10.1111/jep.70042","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Rationale&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Older people with frailty are at high risk of functional decline, readmissions, and other adverse health outcomes, after acute hospitalisation. Interventions should focus on strength training and nutrition, but knowledge is needed on designing sustainable interventions after discharge.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this study was to explore what healthcare professionals perceive as central for making a newly developed complex training, social, and nutritional intervention work effectively using theory-based evaluation. The intervention was a RCT study including 119 participants.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nine semi-structured interviews and three follow-up meetings were conducted with healthcare professionals (physiotherapists, senior activity employees, dietician) who performed the intervention. Interviews were analysed for Context–Intervention–Mechanism–Outcome configurations, and findings were compared with the initial programme theory.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The training and social elements of the intervention seemed to largely function as intended. According to the healthcare professionals, the mechanisms for the training intervention were successful experiences, the approach of the physiotherapists, and the atmosphere and interactions between participants, leading to increased self-efficacy and motivation for continuing. However, goal setting and test results were used differently as motivational tools. The social intervention was perceived to work through feeling part of a community and well received in the centre. The perceived mechanisms for the nutritional intervention were increased knowledge and feelings of being seen and heard, although it seems that the impact was mixed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;According to the involved healthcare professionals, the complex training, social, and nutritional intervention seemed to work well for older people with frailty, although the nutritional intervention was received differently. The important mechanisms were the social element and the personal approach of the physiotherapists, which perceivably prompted training efforts and results and yielded good mental outcomes. The organisation of a similar multicomponent intervention should consider integrating the nutritional intervention and frame the use of goal setting and testing further. The findings provided n","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scale for Measuring Critical Thinking Ability for Dental Residents: A Development and Validation Study","authors":"Lina Dai,&nbsp;Tingting Wu,&nbsp;Yun Hu,&nbsp;Jinlin Song","doi":"10.1111/jep.70031","DOIUrl":"https://doi.org/10.1111/jep.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To establish and validate a short scale of critical thinking ability for dental residents based on the Byrnes theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Two hundred and thirty-four dental residents in total from Stomatological Hospital of Chongqing Medical University were divided into development group and validation group randomly. In the development phase, the content validation and the initial reduction was underwent by the modified Delphi method. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and reliability test was used to validate the scale in the evaluation phase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We developed a 21 items scale after two rounds of expert consultation via Delphi method. In the evaluation phase, no significant sociodemographic difference was found among the 234 participants. Fifteen items extracted three factors and CFA results indicated acceptable goodness-of-fit indices of this scale. The scale was with a good internal consistency and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This version of critical thinking scale for the Chinese dental residents was considered to be more feasible for application in the clinical practice and dental education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FungiCAP Survey: Insights Into Physicians' Knowledge, Attitudes and Practices in Antifungal Prescriptions in Colombia","authors":"Carolina Isabel Gómez-Chaves,&nbsp;Cándida Díaz-Brochero,&nbsp;Laura Cristina Nocua-Báez,&nbsp;Jorge Alberto Cortés","doi":"10.1111/jep.70040","DOIUrl":"https://doi.org/10.1111/jep.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The main objective of this study was to evaluate the knowledge, attitudes, and practices of physicians related to the prescription of antifungals in a Latin American country.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A close survey of Colombian physicians' knowledge, attitudes and practices was conducted through an online or paper questionnaire (Fungicap). We performed a descriptive analysis of the main sociodemographic variables, which were related to the respondents' medical practices and the survey results. Moreover, an exploratory analysis of the associations between the knowledge score and sociodemographic characteristics and between the knowledge score and factors concerning medical practice was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 285 physicians participated, with a mean age of 34.6 years, and 57.1% were men. The most frequently participating hospital services were internal medicine (47.7%), intensive care (8%), and geriatrics (4.4%). The average knowledge score was 11.3 (SD 2.1, possible score 0–17). Eighty-seven percent lacked knowledge about the pharmacokinetics, and 61% lacked knowledge about the pharmacodynamics of antifungals. A total of 63.5% had poor knowledge about the antifungal drug of choice according to the type of disease. A total of 78% thought that undergraduate education was insufficient to prescribe antifungals. There were statistically significant differences between the degree of knowledge and the type of institution in which the doctor worked.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>There is national and international uncertainty about the prescription of antifungals, including basic knowledge and the appropriate treatment of infections. The survey allowed us to identify some weaknesses in the knowledge of antifungal prescribing among Colombian physicians. Thus, there is a need to strengthen antifungal education for physicians.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting Collaboration of Intern Nurses With Patient Relatives in Psychiatry Clinic: A Qualitative Study","authors":"Merve Kızılırmak Tatu,&nbsp;Feride Ercan,&nbsp;Satı Demir","doi":"10.1111/jep.70043","DOIUrl":"https://doi.org/10.1111/jep.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychiatric nursing internship practice aims to deliver nursing care to the individual with a mental disorder and his/her family and to fulfil all steps of the nursing process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>The aim of this study was to determine the factors affecting the collaboration of intern nurses with relatives of psychiatric patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research was conducted as a descriptive qualitative research design. Participants consisted of 17 intern nurses. A semi-structured interview form was used. The data analysed by the content analysis method in accordance with Guba and Lincoln's criteria of credibility, dependability, confirmability and transferability. COREQ checklist was used as a basis for planning and reporting the research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the participants was 21.29 ± 0.77 and 12 of them (70.5%) were female. The results of the study indicated three themes regarding the perceptions of intern nurses. The themes related to perceptions of intern nurses about collaboration with patients' relatives were as follows: ‘individual and environmental characteristics that are effective in collaborating with patient relatives’, ‘effective nursing practices in collaboration with patient relatives’ and ‘possible results of collaboration with patient relatives’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Intern nurses stated that the effective factors in working with patient relatives were the patient's symptoms and relationship with the family from the patient's perspective and views on illness and treatment, exposure to social stigma from the patients' relatives perspective. They stated that the nurse's communication skills and workload can be effective in working with patient relatives. Intern nurses expressed that information and education practices were important tools in collaboration with the patient relatives. It has been stated that collaboration with the patient relatives will provide possible desired results such as patient compliance with the treatment process, increased well-being, strengthening coping skills in the patient relatives and reducing caregiver burden, and providing job satisfaction and satisfaction for the nurse.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Most Significant Change: An Evaluation of Predictive Performance Measures in Nursing Homes","authors":"Yvonne Wells,&nbsp;Jo-Anne Rayner,&nbsp;Deirdre Fetherstonhaugh,&nbsp;Linda McAuliffe","doi":"10.1111/jep.70017","DOIUrl":"https://doi.org/10.1111/jep.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Due to their frailty, older people living in nursing homes are at risk of harm if the care provided is not evidence-based and high quality. The performance measures routinely collected to measure quality care in public sector nursing homes in Victoria, Australia, are currently acute care focused and collected ‘after the fact’, so there is a need for predictive performance measures that identify circumstances that reflect poor-quality care that will cause harm to residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To evaluate the readiness of public sector nursing homes in Victoria, Australia to introduce predictive performance measures in aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive design was used to evaluate the introduction of eight predictive performance measures in six geographically diverse public sector nursing homes in Victoria, Australia. After implementing the performance measures interviews with staff were undertaken which were used to create 18 most significant change stories. The stories were workshopped by key stakeholders, to detect subtle changes in nursing home staff behaviours and clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the workshop, using the most significant change methodology six themes from the stories, each with sub-themes were identified which reflect the preparedness of nursing homes for the introduction of predictive performance measures, revealing ‘gaps’ in aged care practice, and the need for improvements. These included <i>staff-identified strategies</i>, <i>changes in practice</i>, <i>gaps in aged care practice</i>, <i>areas for improvement</i>, and <i>the need for improvement plans</i>, which prompted changes in staff behaviours and better care for residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study highlights the value and adaptability of using the most significant change methodology to evaluate complex interventions. This method enriches analysis by emphasising individual experiences, and the dynamics of organisational change. It highlighted subtle changes in aged care practice that would have been difficult to measure including staff behaviour, organisational culture, and the role of leadership in improving care quality for residents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Wards Nurses' Experiences on Self-Compassion, Compassionate Care and Compassion Fatigue: A Qualitative Study","authors":"Ghadeer Hussein Ali Ali,&nbsp;Hilal Altundal Duru","doi":"10.1111/jep.70032","DOIUrl":"https://doi.org/10.1111/jep.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Compassion is an important component of providing quality nursing care, and the literature on compassionate care in psychiatric nursing is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this qualitative descriptive study was to explore the experiences of psychiatric ward nurses regarding self-compassion, compassionate care and compassion fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study was conducted by thematic analysis with an inductive approach of semi-structured interviews with 16 psychiatric nurses across psychiatric ward in a state hospital, Kirkuk, Iraq, selected through purposeful sampling between 15 October and 15 November 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis of the data, two main themes emerged: ‘freedom in difficulties’ and ‘togetherness of suffering’. These results indicate that psychiatric nurses need individual and organizational resources to provide compassionate care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is thought that developing programmes to improve the self-compassionate care of psychiatric nurses by institution managers and policy makers may be effective in reducing compassion fatigue and providing compassionate care. In the future research, how religion affects psychiatric nurses' ability to provide compassionate care and the role of belief in coping with compassion fatigue experienced by psychiatric nurses needs to be investigated.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Central Venous Catheter Care Training Following Evidence-Based Guidelines on Nurses' Knowledge Levels and Care Practices","authors":"Nurtaç İskender,&nbsp;Havva Karadeniz","doi":"10.1111/jep.70037","DOIUrl":"https://doi.org/10.1111/jep.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess the impact of training on central venous catheter care, aligning with evidence-based guidelines, on the knowledge levels and care practices of nurses within intensive care units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This quasi-experimental study was conducted with the voluntary participation of 39 nurses from a state hospital's intensive care units. The data were collected using the “Descriptive Characteristics Form,” the “Central Venous Catheter Information Form for Evidence-Based Guidelines,” the “Observation Form for the Evaluation of Nurse Care Practices in Central Venous Catheter Care Guided by Evidence-Based Guidelines,” and the “Evidence-Based Nursing Attitude Questionnaire”. Nurses underwent Central Venous Catheter Care Training, and assessments of their knowledge levels and care practices were conducted before and after the training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following the central venous catheter care training, there was a significant increase in posttest scores for both the knowledge level (<i>p</i> &lt; 0.001) and the Evidence-Based Nursing Attitude Questionnaire (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study suggests the incorporation of central venous catheter care based on evidence-based guidelines into nursing curricula, postgraduate in-service training programs, and intensive care courses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}